Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Daniel Page, PA

Individual provider Family Medicine Physician · NPI 1265490098

Bradley Daniel Page, PA is a Physician Assistant in Waycross, Georgia. Qualified in 2004, 22 years ago. Practices with Faith Family Practice LLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2005 Pioneer St Ste C
Waycross, GA 31501-6205
Phone: (912) 490-7777
Fax: (912) 490-7778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 Knight Ave, Waycross, GA 31501-1943 — (912) 283-9423

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004775 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4755 (GA)

Record details

NPI number1265490098
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address11608 Central Ave, Hoboken, GA 31542-2106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Faith Family Practice Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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